Tagged / nursing

Last Wednesday the First Minister of Scotland, Nicola Sturgeon, announced an increase in bursaries (to £10,000) for Scottish student midwives and nurses to help cover accommodation and living expenses.

The Royal College of Midwives Scotland Director, Mary Ross Davie, commented: “This is great news and a forward thinking and important announcement…Let us not forget that in England student midwives and nurses do not get any bursary at all, which makes this increase for Scotland even more progressive. This also comes on the back of the best pay award for NHS midwives and nurses in the UK, another important step to ensuring we retain the midwives we have…I would urge the government in England to rethink their decision to take away bursaries in England.”

Suzanne Tyler, Executive Director for Services to Members at the Royal College of Midwives, responded to the announcement: “The announcement is simply great news for student midwives in Scotland…It frankly should shame the Government in England who have taken away bursaries for England’s student midwives, who also have to pay tuition fees. This leaves them tens of thousands of pounds in debt when they qualify.

This is even more worrying given the large shortage of midwives in England, and sits at odds with the Government’s commitment to bring 3000 more midwives into the NHS in England. The RCM [Royal College of Midwives] repeats its call for this Government to give our student midwives and nurses their bursaries back. So that we can attract people into the profession and so that the Government can meet their promise of 3000 more midwives for England.”

There were also two relevant parliamentary questions:

Q – Paula Sherriff: To ask the Secretary of State for Education, how many mental health nursing students have started degree apprenticeships in the 2018-19 academic year.

A – Anne Milton: In the 2017/18 academic year reported to date (from August 2017 to April 2018), 260 apprenticeship starts were recorded for the standard ‘Registered Nurse’. This is the level 6 degree apprenticeship approved for delivery on 9 May 2017. Mental health nursing remains an optional element within the nursing apprenticeships.

Additionally, there have been 640 apprenticeship starts reported to date (from August 2017 to April 2018) for the standard ‘Nursing Associate’ (level 5 apprenticeship standard, approved for delivery on 20 November 2017; note that we class apprenticeships at level 6 and above as ‘degree-level’). There were no starts on these standards in the 2016/17 academic year. Full final year data for the 2017/18 academic year will be available in November 2018 and data covering 2018/19 will be available in January 2019.

We want to increase the number of nursing apprenticeships and now have a complete apprentice pathway from entry level to postgraduate advanced clinical practice in nursing. This will support people from all backgrounds to enter a nursing career in the National Health Service (NHS).

We are working closely with employers, Health Education England and ministers in the Department of Health and Social Care to make sure the NHS is fully supported to recruit apprentices, both in nursing and in a range of various occupations.

Q – Paula Sherriff: To ask the Secretary of State for Health and Social Care, how many students started mental health nursing degree courses in the 2018-19 academic year.

We were pleased to announce earlier in the year that the National Institute for Health Research (NIHR) has awarded us a further five years of funding to continue our work as the RDS South West. Today marks the beginning of our third five-year contract.

This NIHR funding allows RDS advisers in the South West to continue offering free and confidential advice, drawing on a unique breadth of experience and established track record in improving funding applications.

Please see our latest BUCRU/CoPMRE newsletter or find out more about how we could help you by visiting RDS SW website or contacting the RDS South West Bournemouth Office hosted within BUCRU (Bournemouth University Clinical Research Unit):

Congratulations to two members of Bournemouth University’s Visiting Faculty Minesh Khashu and Jillian Ireland on the publication of their paper ‘Fathers in neonatal units: Improving infant health by supporting the baby-father bond and mother-father co-parenting ‘ which has been accepted this week by the Journal of Neonatal Nursing.[1] Prof. Minesh Khashu is the lead Consultant Neonatologist and Jillian Ireland is Professional Midwifery Advocate and both are based at Poole Hospital NHS Foundation Trust.

This position paper has been co-authored by a wide-range of international experts from The Family Initiative (based in London), Edith Cowan University in Australia, McGill University in Canada, Northwestern University in the United States of America, the University of Toulouse in France, Luleå University of Technology in Sweden, Lillebaelt Hospital in Denmark, the Scientific Institute IRCCS Eugenio Medea in Italy, the University of Melbourne in Australia and Bournemouth University.

This is second paper in this field by these BU Visiting Faculty members after the 2016 publication of a literature review. [2]

Admissions and Clearing

The blog notes that higher tariff institutions have benefited most from the buyers’ market this year.

Mary describes the increase in disadvantaged students in detail:

Things also look good for more disadvantaged students, measured by the serviceable but imperfect area-based POLAR4 measure.

Here we see that participation rates for POLAR Quintile 1 (roughly the fifth of the population living in areas having the lowest participation rates in higher education) has again grown, up 0.3% to 16.4%.

Quintile 5, from the highest participation areas, is also up by 0.7%.

The most advantaged (Quintile 5) are still 2.4 times more likely to enter higher education than the least advantaged (Quintile 1).

On ethnicity Mary writes:

Although white students are still the largest group of undergraduate students, BAME students have a higher and faster growing appetite for higher education. Today’s data from UCAS indicate that while the number of placed white students from the UK is down 3%, placed BAME students are up 1%. The entry rate by ethnic group is the lowest for the White group and Asian students are 15% more likely to enter higher education.

Mary’s analysis is based on A level results day data which captures 80% of the End of Cycle data, it cannot be fully comprehensive but is sufficient to indicate trends.

Education Secretary of State Congratulatory Speech

Damian Hinds congratulated A level students on results day and welcomed record numbers of 18 year olds who intend to enter university study. The Government’s news story provides a national picture of the A level results:

Maths continues to be the most popular subject at A Level, with the number of entries up 2.5% on last year – up 26.8% compared to 2010;

Entries into STEM subjects continue to rise, up 3.4% on last year and up 24% since 2010;

An increase in entries to STEM A Levels by girls, up 5.5% from last year and 26.9% since 2010 [see this Financial Times article for a chart illustrating female STEM study programmes];

The proportion of entries to art and design, music and modern foreign languages remains broadly stable;

In the second year of reformed A Levels, the percentage of UK entries awarded the A* grade remains stable at 8.0% this year, compared with 8.1% in 2010 and the overall UK pass rate remains stable at 97.6%, compared to 97.9% last year.

Damian stated that the reforms to A levels mean students are better prepared for future study or the workplace and reiterated messaging around choice of progression pathway on from A level study:

We’ve worked to improve education for every child – from their early years through to secondary school and beyond. I also want young people to have wider choice, whether that’s going to university, earning through an apprenticeship or in future taking technical qualifications that match the best in the world…As young people receive their results and prepare for the next steps, for the first time National Careers Service advisers will be giving young people information, advice and guidance on skills, learning and work alongside the UCAS clearing service. This will help ensure young people are aware of all the education and training options available to them.

Sam Gyimah said:

Thanks to the support offered by this government, no student with the talent and potential is restricted from studying in our world-class university sector. We have worked with employers to design new high quality apprenticeships – including degree apprenticeships – making them longer, with more off-the-job training and proper assessment at the end so that apprentices are learning the skills that industry really needs.

Wider sector perspectives

CBI Head of Education, John Cope, spoke ahead of the results stating:

There are many great routes to a successful career whether that’s at a university, college, or learning on the job. It’s important that those getting their A-Level results consider the whole range of options available.

University absolutely offers students a great next step but is by no means the only route to a higher-level education. There are a range of different options – a Higher National Certificate or Diploma, a foundation degree, or a ‘degree apprenticeship’, with an apprenticeship offering the chance to gain both a qualification employers value and start earning a salary straight away.

He went on to talk about the rise in the number of unconditional offers:

What’s driving the growth of unconditional offers is complex. To protect the credibility of our world-class sector, universities must ensure that unconditional offers are used carefully, such as helping widen access to university and driving social justice

The Chartered Management Institute’s statement also cites the growing favour for degree apprenticeships quoting a parent survey which found half (49%) of respondents said they would encourage their child to start a degree apprenticeship rather than an academic-only university course. 52% of parents said they were put off the traditional academic route by substantial university costs. In addition, 71% of those surveyed believed degree apprenticeships provide a better chance of getting a job than a traditional university degree, with many considering them to be the best value-for-money option for young people currently. (Note, CMI partners with 12 universities and major corporates to deliver a degree apprenticeship offer.)

Times Higher report that UK student acceptances are down by 2% on A level results day with lower-tariff institutions continuing to feel the squeeze.

Headlines:

The number of placed applicants for nursing continued to drop – down another 2% from last year.

There has been a small rise in the percentage of students from the most disadvantaged groups accepted to universities.

There was also an increase in EU acceptances (up by 1%) plus a record 31,510 international (non-EU) students.

Nationally, there were 26,000 unfilled places on A level results day

Research Professional published comments from the University and Colleges Union who have refreshed a pitch from earlier this year calling for a post-qualifications admission system. The article also reiterates familiar themes on Government’s concern over the rise of unconditional offers.

The Guardian ran a piece highlighting that some students who missed their grades and had entered Clearing to obtain an alternative university place may need additional support to adjust.

Times Higher pull together statements from key HE sector figures in response to A level results and early UCAS acceptance data.

University – declining as the ‘default’ choice?

The Sutton Trust has published research on young people’s attitudes to university across a 16 year period, conducted by Ipsos MORI. School pupils indicated how likely they were to attend university compared to the previous responses for the last 15 years. Overall figures fluctuate slightly and in 2018 more pupils indicated they were fairly likely to go, but less were certain enough to select ‘very likely’. Delving into the reasons why pupils were unlikely to attend HE all the major reasons were scored lower than in previous years (period 2013-2017), except for social concerns (friends not attending, teachers advised something else for me, people like me are not expected to go to university) which remains turbulent. See the Sutton Trust news article and report overview for more analysis of the data.

Economics of Post-School Education

The House of Lords Economic Affairs Committee undertook an inquiry into the Economics of Post-School Education, publishing their concluding report on 11 June 2018. You can read a summary of it in our previous policy update (pages 3 to 5). The Committee report called for immediate reform stating there was too much emphasis on university degrees, with undergraduate study dominating post-school choices, which isn’t in the country’s best interest. Their report attributes this dominance to the ‘lack of alternative viable, consistent and quality alternatives’ with the guaranteed HE Finance system and the removal of the student number cap acting as enablers.

This week the Government published their official response to the House of Lord’s report. The response continuously acknowledges the current Government Review of Post-18 Education and Funding throughout the replies to the Lords Committee’s calls for change. In general the Government’s response echoes the Lords sentiment for better post-school careers options and alternative technical routes with equal recognition as a degree. This is unsurprising as these are both current policy pushes and set within the context of the reform of technical education which aims to span FE and HE. As expected the Government’s response focuses on pathways to employment, provides a nod to automation, and emphasises all forms of education as a driver of social mobility. However, it disagrees with the Committee’s calls to revisit student finance. In the full response the Government references the Review of Post-18 Education and Funding at the end of each reply –the effect is to set out a firm policy position but allowing room for future manoeuvre.

The key recommendations of the Lords inquiry report are set out below with the Government’s response in blue beneath.

Sector rhetoric has long held FE to be the poor cousin of HE and the Lords report called for better distribution of public funding across FE and HE with separate single regulators for level 4 and above (OfS) and sub level 3, including apprenticeships.

The Government response notes the DfE review of classroom-based, level 4 & 5 technical education launched in October 2017 (interim findings here) which it states is ensuring that learners have high quality, accessible and attractive study choices at Levels 4 and 5. The response doesn’t comment on the funding aspect deferring an answer until after the Post-18 Review concludes: Access to loan funding and maintenance support for all courses at Level 4 and above including wider funding for FE colleges will be considered as part of the Review of Post 18 Education and Funding.

On single regulators the Government confirms the role of the OfS as the HE regulator, only for those on the HE register, but with a wider student focussed outlook: In his strategic guidance letter 2018/19, the Minister for Universities asked the OfS to ‘look beyond its register, develop an understanding of providers and students in the currently unregulated parts of the HE sector and consider ways of encouraging such providers to register and engage with good regulatory practice.’

Address the decline in part-time and mature students by removing loan restrictions and maintenance support, by introducing innovative methods of learning, working with employers, and cooperation between universities to ensure a flexible credit-based modular system where individuals can learn at their own pace.

The Government response noted the changes already introduced aiming to support part-time and mature students, including the 2018/19 starter part-time maintenance loans, and the Masters and Doctoral loans. The push for accelerated degrees, with the revised finance arrangements to facilitate this (outcome of consultation on this due autumn 2018), and greater ease and transparency for students wishing to transfer credit between institutions were characteristics of Jo Johnson’s stint as HE Minster. While the Government has been quieter on these aspects under Gyimah the impetus for a system that incentivises student choice remains and the Government’s response describes on-going government work to empower people to study at different times in their lives and sets out their commitment to the value of innovative methods of provision as a means of broadening choice available to students. One of which is the growth of new and alternative providers to plug cold spots and increase competition. The feel behind the response is that the Government is genuinely committed to reversing the dearth of mature and part time students and are looking to universities to collaborate, attract, innovate and offer sufficient flexibility to reinvigorate this group of learners to return to HE study, whether they chose a traditional academic programme or follow a higher level technical or employer focussed route.

Specifically on credit transfer systems the response highlights that the Higher Education and Research Act tasks OfS to monitor and report on the availability and utilisation of student transfer arrangements, and confers on the OfS the power to ‘facilitate, encourage, or promote awareness of’ the provision of transfer arrangements’ whilst recognising the autonomy of HE providers in England to determine the content of particular courses and the criteria for the admission of those courses. It also notes that from August 2019 the OfS will require all registered HE providers to publish information about their arrangements for student transfer.

Refresh apprenticeships – remove targets to prioritise quality over quantity, focus on the skills employers really need, abolish the Institute for Apprenticeships, increase the status of apprenticeships to be seen as a valid and worthwhile alternative to a degree

The Government response sets apprenticeships within the wider policy vision of a refreshed, high-quality, economically productive technical education and training pathway that delivers the cutting edge skills employers need. Including T levels and the 15 new technical routes, the National Retraining Scheme, Institutes of Technology, National Colleges, the role of Skills Advisory Panels in supporting local skills needs and business growth, and emphasising student mobility across all academic and technical routes and levels. The response also noted the Government wanted to have a positive impact on the progression and earning potential for apprentices over their lifetimes.

The Government confirmed their aspiration for the technical route to have equal status and validity to an academic degree route and cited the introduction and continued growth of degree apprenticeships within the sector:

The development of degree level apprenticeships aims to widen access to the professions and develop the higher-level technical skills needed to improve productivity and make sure businesses compete internationally. Not all occupations will lend themselves to a Degree Apprenticeship and not all people will want to work whilst doing their degree. Sitting alongside… Degree Apprenticeships provide another route for employers and people to gain the skills that they need.

The Government’s response acknowledged the poor quality within current apprenticeship provision: we agree with the Committee that for too long apprentices have not received the quality of training we would expect. Yet resisted the Lords calls to abolish the Institute for Apprenticeships, instead stating the Government has given the Institute for Apprenticeships a clear remit.

Alternative viable non-degree routes with parity of esteem – moving away from university undergraduate study as the default post-18 choice. The Lords also recommended a simpler approach to post-school choices through a single UCAS-style portal covering all forms of higher education, further education and apprenticeships.

The Government shares the Lords’ vision for alternative non-degree routes as set out under 1a, 2a, 2b, 3a and 3b above.

With regard to redressing university study as the default choice the Government response acknowledges more could be done to improve information on post-18 options provided in schools and references the Careers Strategy. There is a statutory duty on schools to provide independent and impartial careers guidance on the full range of education and training options, including apprenticeships, and provide pupils with access to the full range of training providers. The Careers strategy also sets out a requirement for schools to facilitate a number of employer encounters for pupils. However, they resisted the Lords call for a single UCAS style entry system:

We agree that it is important that students have the necessary information to consider all of their options, not just the academic route. We are making sure that all Government careers information is available in one place on a new National Careers Service website. Online resources will include information on routes into apprenticeships, including higher and Degree Apprenticeships, and T Levels. We are improving the functionality of the post-16 course directory. This provides information about all the courses that a young person might choose at 16..We will consider what further action might be helpful in ensuring that young people are able to make informed decisions about their education, training or career options.

We have considered whether apprenticeships should be included in a centralised application system (either at age 16+ or at 18+). Our discussions with employers have made it clear that they value having their own recruitment processes and so would not welcome an attempt to standardise the process.

The Review of Post-18 Education and Funding is considering how we can help young people make effective choices between academic, technical and vocational routes after the age of 18.

Again the task of implementing this aspect of the Careers Strategy falls upon OfS shoulders:

The provision of information is one of the OfS’s top priorities. The strategic guidance letter asked the OfS to play a key role in ensuring better information, advice and guidance is provided to students so that they can make the right choices for them. The Government expect the OfS to combine this with the Longitudinal Education Outcomes (LEO) data on salary outcomes and to reform Unistats, whilst working with students to identify what information they need to make effective informed choices and how to present it most effectively. The OfS are expected to publish an information, advice and guidance strategy by Autumn 2018.

Structural changes including addressing the high level of interest charged on student loans, criticism of the removal of maintenance grants, and censure for the masking effects in the way the student loan book is calculated and reported

The Government rejected the recommendations surrounding the student finance system. The response notes that cutting the interest rates would be socially regressive as it would primarily benefit the highest earning graduates. This runs counter to Government policy, the introduction of the 2012 higher fees and cessation of student maintenance grants, which states that students who benefit financially should pay for their degree rather than the public. However, there is a slight softening within the Government’s response which references the Review and states [we] will consider the report of the independent panel in this regard.

On maintenance support the response defends the Government’s position stating the move from grants to loans ensures that students contribute to the cost of HE – creating a fair balance of contribution between those who benefit – society and the student. It reiterates the familiar messaging which establishes the non-repayment of loans as a deliberate and conscious investment subsidy in the long-term skills capacity of the economy. Again there is a softening in the now familiar final statement on the Review which provides room for manoeuvre in future policy direction: The Review of Post-18 Education and Funding is considering how disadvantaged students and learners receive maintenance support, both from Government and from universities and colleges.

The Director General of the Office for National Statistics also writes to Lord Forsyth (Chair of Lords Economic Affairs Committee) to respond to the Committee’s recommendation on the way the Office for National Statistics (ONS) accounts for the loan deficit. The letter acknowledges the complexity of the current accounting method and references the ONS’ own review tackling the pros and cons of the various alternative options in calculating the deficit.

Finally, while the majority of the Government’s official response to the House of Lords inquiry report holds to the current familiar policy lines it consistently acknowledges the importance of the Post-18 Education and Finance Review, including the role of the independent expert panel (chaired by Philip Augar). Perhaps portending movement on some of the key HE issues, such as finance, alongside a shake-up of sub level 4 provision. The independent panel is due to report later in autumn 2018 with the Government concluding the full Review early 2019. Potentially the Review could mean the biggest change in the sector landscape since the Higher Education and Research Act, and all set against the backdrop of impending Brexit.

Parental role in funding university

This week also brought an upsurge of articles on funding the costs of university timed ahead of the A level results.

Times Higher ran: Parents worldwide contribute to the cost of university, finds survey. It compares the differing levels of finance parents provide to facilitate their child’s degree study – UK and French parents contribute the least worldwide. The article also considers variety in global parental opinion on which skills are most important for their children to learn at university.

Educating the world’s leaders

HEPI, Times Higher and Research Professional cover the news that America has overtaken the UK in the statistics which recognise the country who educates the most world leaders. America has educated one more serving monarch, president or prime minister than the UK to take the top spot. Nick Hillman (HEPI) states:

You build up incredible soft power if you educate the leading lights of other countries. In the past, we have been more successful than any other country in attracting the world’s future leaders. But these new figures suggest our position could be slipping. To ensure this does not become a long-term trend, we need to adopt a bold educational exports strategy, remove students from the main migration target and roll out the red carpet when people come to study here.

One practical way to make all that happen would be to end the Home Office having complete control over student migration and to share it across government departments instead, as they do in other countries.

Technical Education

The Conservative leaning Centre for Policy Studies has published Technically Gifted – How Selection Can Save Technical and Vocational Education. It makes bold suggestions on how to achieve parity of esteem for technical and vocational education through exclusive selection methods. The document’s authors are no strangers to controversial headlines. It is written by Toby Young, the Free Schools guru who resigned from the OfS Board within days of appointment following public outcry at his past inappropriate tweets; with the Foreword by Nick Timothy, Theresa May’s ex-special advisor and Chief of Staff who advised her to call the snap election in 2017 which left the Conservatives without a majority in Parliament.

Toby highlights the growing skills gap in Britain – by 2022 it is anticipated there will be 3.6 million vacancies in skilled technical occupations despite the Government’s technical education policy agenda. He notes that, with a few exceptions, University Technical Colleges, Studio Schools and Free Schools have all failed to thrive and achieve quality outcomes. Toby believes the difficulty lies in student recruitment numbers – for viability the providers accept all applicants including those marginalised or excluded from other local schools and often have higher numbers of pupils with behavioural difficulties or low attainment. This makes the institution unattractive for pupils who excel within the educational specialism the institution provides, creating a negative downward spiral of declining numbers and status.

The document lands at a time when the Government and Lords are striving to engender a culture of parity of esteem between technical and academic education, where a higher level technical or vocational qualification is considered of equal value to a degree. The Government has invested heavily and is introducing T levels reforming vocational education into the 15 new technical routes, and promoting degree apprenticeships; focusing more on choice for young people and promoting technical and vocational options through the Careers Strategy and the National Retraining Scheme; continuing to provide new funding to invest in Institutes of Technology and the National Colleges; whilst maintaining their support for the Institute for Apprenticeships. The quality and status of vocational education has been an issue throughout successive Governments so it remains to be seen whether the new approach will successfully bring the economic and skill benefits that Britain needs. What has been noticeable in the run up to A level results day this year is the additional volume of media stories and promotions espousing the benefits of degree apprenticeships and alternative choices.

For Toby the answer to both of the above conundrums – high quality technical education and equal status to an academic route – lies within exclusivity through selection. He believes being selected for a technical institution should be a high status achievement (like passing the 11-plus for grammar school entry) rather than a negative decision because the pupil is unsuitable for a standard academic route.

Toby writes:

…if the Government wants England’s technical/vocational schools to survive and thrive, it must cut the Gordian Knot linking technical and vocational education to a lack of aptitude for academic subjects and allow these schools to select pupils according to aptitude for their particular specialisms at the age of 14. Not only would this transform the fortunes of these schools, it would also enable the Department for Education (DfE) to set up new 14-19 technical/vocational schools that would be likely to succeed….This would not require any amendment to primary or secondary legislation. A policy change by the Secretary of State for Education would suffice….Above all, it would fundamentally improve the life chances, income and well-being of those who have an aptitude for this type of education and would like the opportunity to pursue it, rather than treating them – as we have done for so long – like second-class citizens…Members of the professional class, including headteachers, must stop thinking of this type of education as second best – as only being appropriate for ‘other people’s children’.

Toby goes on to argue that:

technical courses should be as intellectually rigorous as academic subjects, including a common core of academic GCSEs

specialist schools should commence at age 14 as technical aptitude cannot be measured at age 11; children need time to develop the cognitive skills required by such courses. Moreover the pupils need an interest and passion in the specialist technical area they will study – this comes through experience and maturity

technical education should be delivered in specialist schools, not mainstreamed. The requirement for schools to enter 75% of their pupils for the narrowed subject mix of the English Baccalaureate (90% by 2025) means the wider range of subjects needed for vocational education aren’t being delivered

Technical education has to start pre-GCSE. He believes the post GCSE T levels will be a bolt on and won’t work because of the prior standard academic content with its narrowing mix of subjects. He calls again for the Government to signal that it regards this type of education as suitable for children of all abilities, not just those who find themselves without the necessary qualifications to do three A-levels

Toby notes a school admitting children at age 14 does pose a difficulty because it is not a standard transfer point in England’s schools system. Parents are reluctant to move children who have already settled and established friendships away from their current secondary school, and the middle school system moves children on at the end of year 8 not year 9. Furthermore, secondary head teachers have a financial incentive to retain their current pupil roll. In particular they are motivated to avoid additional funding cuts on top of those expected from pupils leaving to pursue post-16 options elsewhere. Toby highlights that persuading the local multi-academy trust to run a technical school is a potential solution, even better if they worked in partnership with local industry.

Selection methods should be commensurate with the type of specialist education delivered (e.g. the one day workshop style auditions common to the BRIT school) measuring interest/passion and technical aptitude rather than standard intelligence testing.

Currently there are two successful selective specialist technical schools. Through these Toby highlights that exclusivity doesn’t run counter to social mobility. In these schools both have significantly higher levels of pupils previously eligible for free school meals – 15% and 29% respectively compared to the 7% national average.

Abroad, nearly every country that has rolled out successful technical/vocational schools has allowed those schools to select.

Nick Timothy’s supports Toby’s proposals, writing in the foreword:

Young has identified why schools providing technical education have struggled in England: too often a pupil’s suitability for technical education is judged by their lack of suitability for an academically rigorous alternative. This is a false choice, and it inevitably means technical education is treated as second best. As a result parents and pupils shun technical schools, which end up being treated as dumping grounds for unruly students who are unwanted elsewhere. If we want to become world leaders in the STEM fields and meet our skills shortages with homegrown talent, this has to change. Young people should be encouraged to study technical subjects, and not only when teachers judge that they are not equipped for a purely academic education. For that to happen, a new generation of prestigious schools – selecting their pupils by aptitude, specialising in technical subjects, and still offering a core of academic subjects – can lead the way.

Graham Brady MP writes in Conservative Home in support of selective technical schools:

Wouldn’t it be better, as Young argues, if these schools were able to select those students with a particular aptitude for their specialisms? This should be the starting point in the Government’s efforts to revitalise technical and vocational education – a journey that leads to T-levels (which include a mandatory work placement), a place at an Institute of Technology, before entering a skilled occupation.

The choice, in other words, is not between grammars and comprehensives. It is between a flourishing ecosystem of schools, both selective and not, which do the best possible job of matching pupils and education – and a one-size-fits-all model which is increasingly out of step with the modern world.

Level 4 & 5 Qualifications

On Tuesday the DfE published findings from its ongoing review of level 4 and 5 qualifications. These shorter qualifications such as Foundation Degrees and diplomas are lower than the full undergraduate degree at level 6. However, the Government believes they are becoming a more important part of the employer skills jigsaw and pursuing them will lead to a healthy salary. The initial findings from the review note:

Studying at this level can increase earning potential and employability – students achieving a Level 4 or 5 qualification by age 23 had higher median wages by the time they were 26 and were more likely to be in sustained employment than students who achieved a Level 3.

A growing demand for qualifications at this level from employers in key sectors such as ICT and Engineering – meaning increased take up could play an important role in the UK economy, helping to plug technical skills gap and boost productivity.

Learners at this level often study part-time, and come from diverse backgrounds – highlighting how studying at this level could boost learning and job opportunities for hundreds of thousands more people across the country.

However, only 7% of people in England aged between 18 and 65 are undertaking training at this level, with the majority ceasing study at level 3 or instead pursuing a full degree. These latest findings fit with the Government’s call on the HE sector to offer a wider range of study options and structural flexibility to appeal to a wider audience –progressing social mobility and meeting the UK’s economic ambitions.

Apprenticeships and Skills Minister Anne Milton stated:

We want everyone to be able to access high quality technical education and training so they can get the skills they need. Having these skills can change people’s lives, leading to a rewarding career and fantastic opportunities. These early findings show how learning at Level 4 and 5 can benefit people of all ages and a wide variety of backgrounds, whilst helping employers get the skilled workforce they need. This research will play an important part of our ongoing review of Level 4 and 5 qualifications so we can understand how we can make education at this level work even better for everyone.

Research Professional report on the findings focusing on the low update of the level 4 and 5 qualifications.

Global Matters

This week the Government responded to a parliamentary question on visa delays which cause students to miss the start of their course:

Q – Stephen Kerr: How many tier 4 [visa] applications that have not been processed within the timescale set out in the service level agreement for processing such applications have caused students to miss university start dates in the latest academic for year for which figures are available.

A – Caroline Nokes: …The latest available data indicates the vast majority, 98.1% (and 99.8%) of straightforward cases were dealt with within service standards. Information on students who may have missed their university start date is not collated for publication on Home Office visa case-working systems.

International: The Pie News explores the popularity of UK HE delivered in Hong Kong, with 39 institutions delivering programmes. Pie News also reports that international students attending Chinese universities may be permitted to work part time in future to increase the attractiveness of the Chinese education system.

Buzzfeed News capitalises on a leaked listing of the Brexit technical papers in which the Government explore the consequences of leaving the EU on a ‘no deal’ basis. In part the papers aim to advise individuals and businesses on how to prepare for ‘no deal’ within their operating sphere. You can see the list of topics covered here, however, no content from the papers has been leaked. The list includes Erasmus, Horizon 2020, Broadcasting, Environmental Standards, EU citizens in the UK, Life Sciences and many more. Buzzfeed report that a Government spokesperson stated the Brexit technical papers will be published for all to see in August and September on www.gov.uk website.

Other news

Horizon 2020: The Financial Times explore the Horizon 2020 funding figures released last week questioning whether collaboration is the major Brexit concern and noting the stabilisation effect Horizon funding provides for researchers. Meanwhile this Government Horizon 2020 paper, issued last Thursday, explains the Withdrawal Agreement, the Underwrite and Post EU Exit Extension Guarantees, along with mobility and the Government’s position to Horizon Europe. It is written in plain language and an accessible catch up read.

Horizon Europe:Research Professional report on the Russell Group’s position paper which urges the EU to not seek to focus on closer-to-market projects at the expense of basic research.

Social Mobility Action: With the recent appointment of Dame Martina Milburn to lead the Social Mobility Commission comes a call to the public and industry to get involved with the social mobility movement for change. The news story is here, with a promise to update the page as more opportunities to get involved arise. It also contains details for interested colleagues to join their mailing list.

Masters fee hike:Times Higher report that since the postgraduate loans have been introduced many universities have increased the tuition fee for masters study.

Nursing:Nursing Times writes on the most recent NHS digital data showing the number of practicing learning disabilities nurses has dropped by 40% and that students choosing this form of nursing is decreasing. The article also references the Council of Deans for Health survey which found that 46% of education institutions considered dropping learning disability nursing from 2018/19 due to low student interest meaning courses are not financially viable. In this article the Royal College of Nursing (RCN) criticise the Government for doing too little too late – with the £10,000 golden hello for postgraduate students having little impact on recruitment. In this older news story RCN raise the removal of the NHS bursary for student nurses as a major factor in declining recruitment to degree programmes. It is likely that the decline in mature students contribute to the fall in numbers too. Mature students, with their greater life experience, are more likely to study learning disability or mental health nursing. The Independent also cover the recruitment drop warning of a return to Victorian era practices where patients are moved away from family to institutions because of insufficient trained expertise locally.

Justin Madders MP, Labour’s Shadow Health Minister, said:

“The Royal College of Nursing’s powerful warning must serve as an urgent wake up call to the new Health Secretary. Under this Government learning disability nurses have been cut to the bone, and they appear to have gone quiet on their plans to attract more students into the profession. This unprecedented workforce crisis is completely unacceptable.”

£9k fees unjustifiable: Times Higher report on a YouGov poll which found that although students are satisfied with the quality of their degree they don’t feel the fee level is justified or results in a sufficiently high graduate job pay off.

“The data shows that while students’ satisfaction with the quality of their degree teaching is very high and a large majority still expect to be better off financially and in terms of being able to find a good job, this seems to be in spite of the costs of tuition, which the majority consider unjustified.”

Congratulations to Dr. Ans Luyben on her latest co-authored midwifery publication: ‘Conscientious objection to participation in abortion by midwives and nurses: a systematic review of reasons’ in the Open Access journal BMC Medical Ethics. The UK co-authors are linked with Liverpool John Moores University and the University of Liverpool, whilst the third co-author is from Germany. Ans works in Swtzerland and she is Visiting Faculty in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH).

Congratulations to current and past academics in the Faculty of Health & Social Sciences and the Faculty of Science & Technology who contributed to the newly published Routledge Handbook of Well-Being. The editor Prof. Kate Galvin was previously based at Bournemouth University. She is currently Professor of Nursing Practice in the School of Health Sciences at the University of Brighton.

The following four chapters in the edited collection have been authored or co-authored by BU scholars and students past and present:

Fees and funding

Loans and parental contributions – The implication of the means-tested maintenance loan is that parents will make up the difference for those not receiving the full loan (ie if parental income is over £25,000)– parents are not always expecting or planning for this and sometimes parents are unable in practice to make up the difference. This week the Guardian ran It’s a hidden nasty’ quoting Martin Lewis (Moneysavingexpert.com) who said

“it is ‘an absolute abomination’ the government is keeping quiet about how much extra most families must pay.If you aren’t entitled to a full maintenance loan, parents are expected to make up the gap, but what is outrageous is that the Student Loans Company tells you nothing at all about this.“It leads to friction in families and to students being underfunded.”

Moneysavingexpert.com has a table which lists the scale of parental contributions from £605 per year for £30,000 family income to £4,500 for families earning over £62,177. If the above link doesn’t take you straight to it the table is listed under point 11. And the full loan may not be enough anyway. The Guardian article makes the point that the poorest students, who leave with the biggest ‘debt’, still don’t have sufficient funds to cover their daily needs and links to the recent NUS Poverty Commission report. Both UUK and HEPI have called for the reinstatement of maintenance grants so students can afford the basics.

Martin Lewis believes the maintenance loan should be increased:

But Lewis argues if there are limited funds this shouldn’t be the top priority. “If you want social equality you’ve got to face the fact that students haven’t got enough money to live on. The loans aren’t big enough. So I wouldn’t lower tuition fees, or bring back maintenance grants, I’d boost maintenance loans.”

This is Money has an article covering the increasing number of homeowners who are taking equity release deals to support their children through university.

HEPI have a guest blogger who is also a fan of maintenance loans. He begins by describing how the divergence between HE and adult FE is shrinking (crossover due to degree apprenticeships in Universities and level 4-5 vocational sub degrees in FE colleges). Furthermore, due to automation neither FE or HE can meet the economy’s needs alone. Certainly there will be no retraining revolution without re-expanding part-time undergraduate higher education. On this the blogger, Mark Corney, states the debate about reintroducing maintenance grants for full-time higher education students is crowding-out the fact that maintenance loans are being introduced for part-time students from this August.

He argues that even if tuition fees were free its maintenance support that is vital. In addition, the ‘HE and adult FE are different’ orthodoxy has perpetuated a myth which says full-time and part-time HE students need maintenance but adult FE students do not. Only by examining budget-line by budget-line of HE and adult FE funding together does the irrationality and unfairness of the maintenance loans gap become apparent.

The blog suggested an alternative to reintroducing maintenance grants for full-time higher education students is to increase the value of maintenance loans. Students from poor households will not repay their maintenance – or fee – loan if they remain ‘poor’ after graduation: nor will students from wealthier households who become ‘poor’ after graduation. It also suggested raising the income threshold to median gross annual earnings which is currently £28,600 to protect graduates. Whilst extending the repayment period (to state retirement age) to offset the cost to the Treasury.

Mark goes on to discuss the FE, the poor cousin, the complexity of the FE loan arrangements, the barriers and lack of take up. He states the debate over maintenance loans in adult FE is inextricably linked to technical education reform. He discusses introducing maintenance loans for all Level 4-6 technical education and warns: there is a real danger that Level 3 technical education will get stuck in the 16-18 T-level silo. Level 3 technical education must be accessible to adults too, with maintenance loans available to 19-24 year olds.

Arts, humanities and social sciences – Research Professional report that the British Academy has stated that the UK’s national academies should be in charge of monitoring academic disciplines. The Academy broaches this topic through concern that Academic research, particularly in the arts and humanities, could suffer if universities lose funding for teaching as a result of the [Tertiary Education and funding] review. The article goes on:

Arts, humanities and social sciences could lose out if the government ties tuition fees to graduate earnings or teaching costs, the academy said. This is because they are typically cheaper to teach and lead to lower-paid jobs than science subjects.

The British Academy urged the government to protect funding for these subjects, which it said provide essential skills and research supporting the creative industries and financial, legal and professional services.

“A wholly market-driven approach to education provision brings with it risks and perverse incentives, encouraging short-term rather than strategic management, and potentially stifling growth and innovation,” it said.

Grammar schools made the news this morning with the announcement of a £50 million fund to support expansion – but not the lifting of the ban on new ones. This will allow annexes and spin-off sites – but there are requirements on wider impact too.

Gaps In Grammarfound that high proportions of grammar school pupils come from the independent primary school sector, roughly double the rate you would expect. In fact, a pupil attending a private prep school is ten times more likely to enter a grammar than a pupil on free school meals.

But what about the requirement for universities to sponsor schools as a condition of registration? It has been watered down to an obligation to do one of 4 things: support teaching development, support curriculum design and delivery, take a leadership role in a school or “other targeted partnership activity”. It looks as if this will be administered through the new Access Agreements. It is clear that they hope – indeed they say that they “expect” more school sponsorship and university run free schools – but it won’t be a pass/fail registration condition.

Skills Shortages

There was a Westminster Hall debate on Wednesday considering skills shortages and skills strategy led of Robert Halfon (Chair, Education Select Committee). He announced that the Edge Foundation had formed an analysis group and would bring together key organisations to provide a more comprehensive approach to monitoring skills shortages in the UK.

Halfon set out four steps that: “would build on the strength of the knowledge-rich curriculum to ensure that it fosters young people who are also skills-rich and behaviours-rich—the areas that employers say they value most.”

Firstly, there had to be a fundamental reimagining of pre-18 education, centred around GCSE provision, with Halfon stating that there was an “opportunity for that phase of education to end in a much more holistic and comprehensive assessment—a true baccalaureate.”

Then there needed to be a broader and more balanced curriculum as it was “essential that we develop the next generation of engineers, entrepreneurs and designers” and that a narrow focus on academic GCSEs was “driving out the very subjects that most help us to do that,” he stated.

Thirdly Halfon said careers advice was vital, and more had to be done to “create deep connections between the world of education and the world of work that inspire and motivate young people.” This included employers providing externships so that teachers could experience local businesses and merging duplicate careers organisations into a national skills service.

Finally he said that destinations for young people leaving schools and colleges had to be moved front and centre, “giving school leaders and teachers the freedom to deliver the outcomes that we want for our young people.” He said that a planned programme of skills reforms could only be a success only if it went hand in hand with a school system that was equally focused on preparing young people for work and adult life.

Halfon continued that the sustained expansion of degree apprenticeships was vital to “fundamentally address the issue of parity of esteem between academic and vocational education, which has plagued this country for far too long“.

He concluded that foundations must be laid in schools through a “broad and balanced curriculum, intensive employer engagement, and destination measures as a key driver of success” which would “create the basis for a holistic system that prepares young people for high-quality T-levels and apprenticeships as part of a blended route that breaks down the artificial divide between academic and technical education to create a real ladder of opportunity for our young people.”

Anne Milton (Minister for Apprenticeships and Skills) added that progress should “not be about who someone knows or actually about what they know, or where they live or where they come from; it should be about what skills they have.” On the curriculum she said that it was “important widen young people’s eyes to the opportunities that are out there” but “a good foundation in certain key subjects, such as English, maths and digital skills” was equally important.

Halfon asked the minister how the Government would enforce schools to implement legalisation to invite apprenticeship organisations and university technical colleges into schools and further education colleges. She said as the legalisation was only introduced in January it will still being monitored.

Chris Millward, Director for Fair Access and Participation at OfS welcomed the manifesto, his response confirms he’ll discuss the ideas and refocuses on those priorities already announced, the push for common data indicators and a radical increase in ambition next year echo recent announcements. Chris said:

I am grateful for this wealth of expert advice, especially the contributions from students. I look forward to discussing these ideas with many of the authors today, and in the coming year as I develop the way that the OfS regulates access and participation.

I am pleased to see that many of the issues given priority are ones that I am already addressing in my guidance to universities and colleges….there are still wide gaps for mature students, for white males from the lowest income groups, and at the universities with the highest admissions requirements. And when students do enter higher education, certain groups also face real barriers to succeeding during and after their studies, particularly Black and Asian students and those with disabilities. I have made it clear to universities and colleges that I expect them to address these issues in their access and participation plans, which the OfS must approve if they wish to charge higher tuition fees.

Students need a genuine choice of routes into higher education at different points of life, including high quality technical routes, such as degree apprenticeships, that will work for students from all backgrounds. Students need a more transparent and sophisticated admissions system that tackles the gap between potential and opportunity at the point of entry.

And students need universities and employers to face up to the reasons for differential outcomes within and beyond higher education, and make changes that mean everyone has a fair chance.

To succeed across all of these areas, the higher education sector will also need more robust and common data, indicators and evidence of “what works”, and a longer term approach to evaluation and target-setting.

We will be focusing on all of these issues during the first year of the Office for Students. In doing so, we want to establish the basis for a radical increase in ambition next year, when we will agree new targets for universities and colleges to reduce the gaps in access, success and progression.

The report was picked up by The Times (focus on Oxbridge expansion) and The Guardian (focus on white working class boys access).

The position on unconditional offers is interesting – the recent wave of feeling against unconditional offers is interesting as previously it was seen as an effective and positive mechanism with which to engage non-traditional learners, especially care leavers. Arguments against it now are that it narrows the WP student’s choice perhaps leading to them selecting a lower status institution because of the unconditional offer rather than aspiring higher; that it may take up a place another ‘more deserving’ student could access; and that those with unconditional offers are not under pressure to perform as well in their level 3 exams.

many graduates lead fulfilling lives in rewarding careers such as nursing, teaching and social work, all of which make immense contributions to society and the economy but pay less on average.

UKK call for the OfS to

‘consider extending the duration of Access and Participation Plans to allow universities to take a longer-term, strategic approach to the issues facing their own university community’ and for ‘the OfS should work to introduce a more strategic and effective approach to target setting and monitoring, including support for universities to contextualise their applicants’ prior achievements’.

The UUK blog notes there is more work to be done by universities on reducing drop out and improving the percentage of good degrees for students from underrepresented backgrounds.

Disabled Students Parliamentary Question

Q – Roger Godsiff: To ask the Secretary of State for Education, pursuant to the Answer of 24 April 2018 to Question 135864 on Disabled Students’ Allowances, what assessment his Department has made of trends in the level of reliance of disabled students’ on assistive technology.

A – Sam Gyimah: Information on the use of assistive technology in higher education can be found in this 2017 report, commissioned by the then Higher Education Funding Council for England.

International staff and students

Mobility report – Wonkhe summarise the Universities UK International (UUKi) publication of the fourth annual Gone International report. They explain the report again finds more positive outcomes for students (e.g. 4.7% more with firsts and 0.8% more in employment) who have studied abroad than for their peers who haven’t. In addition, this year, new analysis finds positive outcomes for students from disadvantaged backgrounds, and for short-term study, work and volunteer placements (up to four weeks). Disadvantaged students are 3.6% less likely to study abroad than their more advantaged peers, despite benefitting more. The report is based on 2015/16 Destination of Leavers from Higher Education (DLHE) survey data. 16,580 students chose international study, the highest-ever number, but at only 415 more than the previous year, this remains the same proportion (7.2%). 53.1% of all 2014/15 placements were via Erasmus+, through which the UK received record levels of funding and which the UK government has “guaranteed” to remain part of until 2020. (Summary from Wonkhe.)

International Staff: Parliamentary Question

Q – Gordon Marsden: To ask the Secretary of State for Education, what discussions he has had with the Home Secretary on the (a) current and (b) future costs of (i) visas and (ii) permanent residency documents for overseas academics to work at UK Universities.

A – Sam Gyimah: Department for Education officials meet regularly with Home Office officials to discuss a range of issues regarding overseas academic staff at UK universities. Border, immigration and citizenship fees are reviewed on an annual basis. The current visa fees are set out in the Immigration and Nationality (Fees) Regulations 2018.

Cancelled Visas

Last week we told you about the Test of English for International Communication scandal whereby the Home Office cancelled the visas of 35,000 students suspected of cheating the English fluency test. It was revealed the methods used to determine cheating had a 20% error rate and up to 7,000 genuine students were prevented from studying. This week its reported the NUS have released a report produced following an investigation by their legal firm Bindmans LLP criticising the Government and calling for action and redress. We haven’t been able to find the report itself but The Financial Times have covered the story.

Research Integrity

Sam Gyimah was interviewed for the Commons Science and Technology Select Committee investigation into research integrity. The committee heard that universities should be held responsible for the full compliance of upholding standards of research integrity but the Minister for Universities, Science, Research and Innovation declined to assert that funding should be dependent on this. Other topics covered included concordant sign up, self-assessment and disclosure in clinical trials. Read the full summary of the session provided by Dods Consultants here.

Industrial strategy funding opportunities

This week the Government launched several new initiatives and challenges funded through the Industrial Strategy Challenge Fund.

Resolving Social Challenges – On Thursday Oliver Dowden (Minister for Implementation) announced a series of competitions for tech firms to develop solutions tackling current social challenges. While the initiatives focus on the business sector some of the topics are interesting. Each contributes to the Government’s Grand Challenges – the data economy; clean growth; reducing plastic waster, tackling loneliness and healthy ageing and the future of mobility – the competition is designed to incentivise Britain’s tech firms to come up with innovative solutions to improve public services.

The forthcoming challenges:

Identifying terrorist still imagery (Home Office). Home Office research shows that more than two-thirds of terrorist propaganda disseminated online is still imagery. This project will support both Government analysis of, and broader efforts to remove, this harmful material.

Tracking waste through the waste chain, submitted by Department for Environment, Food and Rural Affairs (DEFRA). A new technological approach could help record, check and track waste, helping boost productivity, reduce costs, and protect both human health and the environment.

Tackling loneliness and rural isolation, submitted by Monmouthshire Council. The government recognises that rural transport is vital to local communities, and businesses. A technological solution, exploiting vehicles with spare capacity could support rural economies.

Cutting traffic congestion, submitted by Department for Transport (DfT). Greater collection and new analysis of data could help target interventions to cut congestion.

Local authorities have large numbers of council vehicles crossing their areas every day. If they can be equipped with innovative data capture systems, they could understand potholes, litter, recycling, parking, air quality and more in real-time, every day, for no added cost. This could mean reduced service delivery costs and better local services.

The first of these competitions opens on Monday 14 May and runs for six weeks, with the remaining competitions being launched in subsequent months. Tech firms bidding to the fund will have free rein to create truly innovative fixes. Winning companies will be awarded up to £50,000 to develop their ideas.

Creative Industries – The Government has announced a funding competition – Audience of the future: demonstrators opening Monday 21 May. £16 million will be invested in 4 large scale creative industries demonstrator projects (£5-£10 million each) through the Industrial Strategy Challenge Fund. It aims to explore future global, mass market, commercial opportunities in the creative industries. Primarily this will be through pre-commercial collaboration at scale. Projects should significantly improve the current state of art in their field. The projects must explore new ways of communication with mass audiences (100,000+) using new immersive technologies and experiences that are a significant advancement on the state of art in the chosen area. The high level of innovation and scale should be capable of transforming the sector and replicable across the creative industries. The project should generate audience and consumer information that could be used to test the viability of new business models. The Government suggests that areas with strong potential could include moving images, access to live sporting events, visitor experiences in museums and galleries, and music and theatre performance. See here for more information.

A further £1 million is available for early-stage projects (£20-60k) that seek to understand customer needs for immersive experiences and the tools needed to deliver them. Early-stage projects should use human-centered design and look at audience behaviour to develop ideas for new products and services. Particular areas could include:

advancing the state-of-the-art with immersive experiences that are desirable and fit-for-purpose

producing high-quality immersive content cheaper, faster and in a way that is more accessible

improving physical devices such as eyewear and controllers, or haptic feedback

But of course, the value of culture and creativity lies not only in its economic strength. Just as important is the less tangible contribution that it makes to our national life. The work you do brings joy to millions. It fosters unity, gives us a common currency. It helps to define and build our sense of national character.

“Without culture […] society is but a jungle”. Your work is a vital part of our national life and our national economy, and I am absolutely committed to supporting it.

Our ambitious sector deal for the creative industries, announced just before Easter, will see a further £150 million invested by government and industry, spreading success and making the sector fit to face the future.

She also announced a £3 million fund of new money to support creative projects within the Northern Powerhouse region on Tuesday. Offering a mix of grants and loans, the social investment fund will be open to non-profit, community-based organisations that deliver a positive social impact. Full speech here.

Nurse Training

Nursing has been in the news again this week. A series of oral parliamentary questions reveal the Government’s unwavering approach towards nurse training and on Wednesday there was a debate on the Government’s plans to remove funding from post-graduate converters into nursing (announced in February). The removal affects the two-year course for those who hold degrees in other subjects. It is controversial as this is the fastest way to train a registered nurse and there is currently a shortage of 40,000 nurses in England. The change brings the post-graduate courses in line with the undergraduate nurse training which has already lost the NUS bursary and now falls under the student loan system.

The Commons debate was secured as a result of opposition pressure, following a report by the Lords Secondary Legislation Scrutiny Committee, which referenced evidence submitted by the Royal College of Nursing (RCN). The RCN arranged for a number of student nurses, who currently receive post-graduate funding, to visit parliament during April to meet MPs and peers and explain what financial support has meant for them.

Michael Lawton, who received the NHS post-graduate bursary and is currently working as a registered nurse, said:

“Without the bursary I couldn’t have applied and I wouldn’t be in a career I love, giving patients the great care they deserve. I know I make a difference every day. MPs I’ve spoken to are shocked at how many hours we do in clinical placement. By removing the bursary, the Government is asking people to pay to work on placements to keep the NHS afloat and that isn’t right.

Current post-graduate nursing student Georgie Ellmore-Jones said:

“After my undergraduate degree I was already in a lot of debt. When I looked at pursuing a career in nursing and saw it was funded, it made it more certain in my mind that I wanted to do it. At post-graduate level many of the students have families and children to look after so adding more debt will only discourage potential students.”

The Commons vote held for the Government and the postgraduate bursaries will be removed. Responses from the Opposition:

Angela Rayner (Labour’s Shadow Education Secretary) said: “The Government has badly failed the next generation of nurses today by forcing through further cuts to their support and burdening health students with yet more debt”.

Jonathan Ashworth (Labour’s Shadow Health Secretary) said: “The Government’s decision to abolish NHS bursaries has led to a huge fall in numbers applying for these courses and will make the NHS staffing crisis even worse. Now Ministers are pushing ahead with further bursary cuts in the face of all evidence. By cutting bursaries for postgraduate students, the Tories’ vote tonight makes it even harder for people to train to work in the NHS.”

On Tuesday there were a series of oral questions on nursing to the Minister for Health (Stephen Barclay).

Q – Gill Furniss (Sheffield, Brightside and Hillsborough) & (Lab) Stella Creasy (Walthamstow) (Lab/Co-op) & Stella Creasy (Walthamstow) (Lab/Co-op): What assessment he has made of the effect of the withdrawal of NHS bursaries on applications for nursing degrees.

A – The Minister for Health (Stephen Barclay): Nursing remains a strong career choice, with more than 22,500 students placed during the 2017 UCAS application cycle. Demand for nursing places continues to outstrip the available training places.

Q – Gill Furniss: Figures from the Royal College of Nursing show that applications have fallen by 33% since the withdrawal of bursaries. At the same time, the Government’s Brexit shambles has led to a drastic decline in EU nursing applications. How many years of such decline do we have to see before the Secretary of State and the Minister will intervene?

A – Stephen Barclay: What matters is not the number of rejected applicants, but the increase in places—the number of people actually training to be a nurse. The reality is that 5,000 more nurses will be training each year up to 2020 as a result of the changes.

Q – Stella Creasy: The NHS already has 34,000 nursing vacancies. Given that there has been a 97% drop in nursing applications from the EU and that studies show that nearly half of all hospital shifts include agency nurses, will the Minister at least admit that cutting the bursary scheme has been a false economy for our NHS?

A – Stephen Barclay: It is not a false economy to increase the supply of nurses, which is what the changes have done. Indeed, they form part of a wider package of measures, including “Agenda for Change”, pay rises and the return to practice scheme, which has seen 4,355 starters returning to the profession. More and more nurses are being trained, which is why we now have over 13,000 more nurses than in 2010.

Q – Grahame Morris: I respectfully remind the Minister that this is about recruitment and retention. The RCN says that we can train a postgraduate nurse within 18 months, which is a significant untapped resource, so why are the Government planning to withdraw support from postgraduate nurses training, too?

A – Stephen Barclay: We have a debate involving postgraduate nursing tomorrow, but the intention is to increase the number of such nurses by removing the current cap, which means that many who want to apply for postgraduate courses cannot find the clinical places to do so. That is the nature of tomorrow’s debate, and I look forward to seeing the hon. Gentleman in the Chamber.

Q – Robert Halfon (Harlow) (Con): Will my hon. Friend, on top of the degree nursing apprenticeships, rapidly increase the nursing apprenticeship programme so nurses can earn while they learn, have no debt and get a skill that they and our country need?

A – Stephen Barclay: My right hon. Friend is absolutely right to signpost this as one of a suite of ways to increase the number of nurses in the profession. As he alludes to, there will be 5,000 nursing apprenticeships this year, and we are expanding the programme, with 7,500 starting next year.

Q – Stephen Lloyd (Eastbourne) (LD): With every reputable independent body showing very clearly that we have a staffing crisis in the NHS nursing profession, can the Minister explain how cutting bursaries actually improves the situation?

A – Stephen Barclay: I am very happy to do so. We are removing the cap on the number of places covered by the bursaries and increasing the number of student places by 25%, which means that there will be 5,000 more nurses in training as a result of these changes.

Q – Dr Philippa Whitford (Central Ayrshire) (SNP): The Secretary of State’s removal of the nursing bursary and introduction of tuition fees have resulted in a 33% drop in applications in England. In Scotland, we have kept the bursary, a carer’s allowance and free tuition, which means that student nurses are up to £18,000 a year better off, and indeed they also earn more once they graduate. Does the Minister recognise that that is why applications in Scotland have remained stable while in England they have dropped by a third?

A- Stephen Barclay: The hon. Lady speaks with great authority on health matters, but, again, she misses the distinction between the number of applicants and the number of nurses in training. It is about how many places are available, and we are increasing by 25% the number of nurses in training. That is what will address the supply and address some of the vacancies in the profession.

Q – Dr Whitford: Workforce is a challenge for all four national health services across the UK, but, according to NHS Improvement, there are 36,000 nursing vacancies in England, more than twice the rate in Scotland. The Minister claims that more nurse students are training, but in fact there were 700 fewer in training in England last year, compared with an 8% increase in Scotland. The key difference is that in Scotland we are supporting the finances of student nurses, so will the Government accept that removing the nursing bursary was a mistake and reintroduce it?

A – Stephen Barclay: The distinction the hon. Lady fails to make is that in England we are increasing the number of nurses in training by 25%; we are ensuring that nurses who have left the profession can return through the return-to-work programme; and we are introducing significant additional pay through “Agenda for Change”. As my right hon. Friend the Member for Harlow (Robert Halfon) said, we are also creating new routes so that those who come into the NHS through other routes, such as by joining as a healthcare assistant, are not trapped in those roles but are able to progress, because the Conservative party backs people who want to progress in their careers. Healthcare assistants who want to progress into nursing should have that opportunity.

Q – Justin Madders (Ellesmere Port and Neston) (Lab): When defending the decision to scrap bursaries, the Secretary of State said that, if done right, it could provide up to 20,000 extra nursing posts by 2020. Well, that figure now looks wildly optimistic, with applications down two years in a row. Is it not time that Ministers admitted they have got this one wrong and joined the Opposition in the Lobby tomorrow to vote against any further extensions to this failed policy?

A – Stephen Barclay: If Members vote against the policy tomorrow, the reality is that they will be voting for a cap on the number of postgraduate nurses going into the system, and therefore they will be saying that more people should be rejected—more people should lose the opportunity to become nurses—because they want to have a cap that restricts the supply of teaching places.

Consultations

Other news

Did you know that Sarah also writes political updates covering specific academic areas on the BU Research Blog,– read the latest one here and watch out for these under the “policy” tag.

Bees: On Tuesday Ben Bradley (Conservative, Mansfield) made his case for a Private Members’ Bill to make provision about the protection of pollinators. Permission to progress the Bill was granted and our regional MP Oliver Letwin will take part in presenting the bill.

Q – Helen Whately: I welcome the Green Paper on mental health in schools, which was published earlier this year, but it does prompt a question about the mental health of students in further and higher education. Does my right hon. Friend have any plans to look into that issue? If he does not, may I urge him to do so?

A – Jackie Doyle-Price: I thank my hon. Friend for her question and her continued industry on these matters. As she mentioned, the Green Paper outlined plans to set up a new national strategic partnership focused on improving the mental health of 16 to 25-year-olds. That partnership is likely to support and build on sector-led initiatives in higher education, such as Universities UK’s #stepchange project, whose launch I attended in September. The strategy calls on higher education leaders to adopt mental health as a strategic priority, to take a whole-university approach to mental health and to embed it across policies, courses and practices.

Plastics: The Government have announced a new research and innovation hub to tackle plastic waste in the oceans.

Anti-cheating efforts: The Times has an article on a Lincoln University that is using ‘personalised essays to stamp out plagiarism’. The short article doesn’t go into detail on how the personalisation is achieved except: Degrees at the university, including a course in business, are offering alternative assessments that are both practical and written. A spokesman said: “In this way, the evidence each student produces is highly individual and it would be extremely difficult for an unrelated third party to be able to fulfil the requirements of the assignment brief. Although this method of assessment cannot be used as a panacea to the issue — nor is it appropriate in every situation — it raises the question of how appropriate current assessment methods are and to what extent they evidence personal learning.”

individual institution-specific targets as a condition of registration OfS (and therefore accountable under the Higher Education and Research Act);

metrics produced through relational analyses and cross referencing – this complex idea stemmed from measuring the quality and impact of reciprocal relationships;

individual learning statements setting institutional goals which the provider would be measured against – similar to current Fair Access Agreement;

ignoring undergraduate TEF and focusing on bringing post-graduate TEF online, including the influence of social capital and the added value of the post-graduate qualification on social mobility. This approach controversially espouses a metrics only approach and abolishes the provider statements.

Wonkhe also continue to unpick the influence of the provider statement in changing an institution’s initial metrics-based TEF rating. Marking the TEF creative writing challenge suggests the panel compensated providers who appeared to be effectively addressing poor NSS scores, took into account a London effect, and rewarded institutions with successful outcomes for part time study.

Brexit and Erasmus

A Times Higher article on the alternative to Erasmus post-Brexit highlights the downsides inherent in an Erasmus alternative. The EU exit agreement will determine whether the UK continues to participate in Erasmus, however, the government is currently pursuing a hard line on free movement which decreases the likelihood Erasmus would continue in its current form. An alternative is to establish bilateral agreements to exchange students with key European universities – just as we do now with international institutions. However, the article highlights the negative impact on social mobility – bilateral agreements mean the students must cover their own costs to some extent – decreasing the likelihood lower income students could afford to participate. While the obvious answer (to divert the UK’s contribution to the EU budget which funds Erasmus to a home-grown scheme) seems reasonable the budget required would be in excess of €113 million and the government have yet to confirm this as an option. Furthermore the time and administrative costs for universities to individually negotiate grants and agreements is excessive. The article also touches on lower demand from EU students to come to the UK suggesting exchanges may not be viable.

Parliamentary Questions

Q: Catherine West: What discussions he has had with the Secretary of State for Education on the future of the UK’s participation in the Erasmus scheme.

A: Mr Steve Baker: The Department has regular conversations with officials and Ministers from other governmental departments about a range of policy issues arising from EU exit. With regards to the Erasmus+ programme, the Government recognises the value of international exchange and collaboration in education as part of our vision for the UK as a global nation. There may be European programmes in which we wish to continue to participate after we exit. This will be considered as part of ongoing negotiations with the European Union

ensuring academic and student time abroad for study, training, career development and research purposes does not negatively impact on continuous residency

interpreting ‘strong ties’ broadly to ensure academics and students spending 2+ years abroad do not lose their settled status once this has been established

EU students starting courses in 2017/18 and 2018/19 should be able to stay and work here after their studies and be eligible for settled status after accruing five years residence

ensuring that professional qualifications obtained in either the UK or the EU before the UK’s withdrawal continue to be recognised across borders

Education-related exports and transnational education activity

The government released experimental statistics estimating the value of exports from the UK education section, the respective contribution of the higher and further education sectors, and transnational activity for 2010-2014. (Transnational education is education provided in a country different to that of the awarding institution.) The total value was estimated to be £18.76 billion – an increase of 18% against 2010. HE was the main contributor accounting for 92% of the total value, with revenue from transnational education contributing the remaining 8%. The full report is here.

Accompanying the experimental statistics is a report analysing the value of transnational education to the UK (originally published November 2014). The report discusses the benefits of transnational education to UK HE institutions (see page 11 for a summary).

Nursing & midwifery places

The Royal College of Nursing spoke out this week highlighting the discrepancy between the Government’s plans to expand the mental health workforce and the significant downturn in nursing applications attributed to the introduction of fees and the withdrawal of the NHS bursary. The Government has earmarked £1.3 billion for mental health services, pledging to treat an additional one million patients by 2020-21 through 24/7 services. The RCN says there is already a dangerous lack of workforce planning and accountability, and warns the Government will need to work hard just to get back to the number of specialist staff working in mental health services in 2010. They state that under this Government there are 5,000 fewer mental health nurses.

Janet Davies, RCN Chief Executive & General Secretary, expressed skepticism at the government’s plans and stated: “If these nurses were going to be ready in time, they would be starting training next month…but we have seen that the withdrawal of the bursary has led to a sharp fall in university applications and we are yet to see funding for additional places.” [The government previously stated the removal of bursaries will mean an additional 10,000 training places for healthcare students could be made available by 2020.]

On the ending of the bursary Jon Skewes, Director, at Royal College of Midwives (RCM) said: ‘We believe this decision is a fundamental mistake by the government and have warned about the wide reaching implications of removing the student midwifery bursary given the existing crisis in our maternity services. In England alone we remain 3500 midwives short. This, coupled with younger midwives leaving, an ageing workforce and the loss of EU midwives post-Brexit, means the RCM has grave concerns for staffing our maternity services. The government has completely ignored RCM advice to make any loans forgivable if students then go to work in the NHS. The axing of the bursary and introduction of tuition in England will without doubt worsen the current shortage of midwives.’

Tuition Fees

The Centre for Policy Studies released an Economic Bulletin on tuition fees: Wealthy Graduates: The Winners from Corbyn’s tuition fees plan. It reiterates known messages including increases in disadvantaged pupils accessing HE and the social unfairness of expecting non-graduates to subsidise education for degree students. It also makes the following points:

The maximum fee ceiling is charged by most universities, there is little differentiation. This means the intended competitiveness was unsuccessful as there is no clear link between tuition fees paid and job prospects. (See page 8 of the full report for more detail.) While TEF still intends to differentiate fees paid on quality the scale of the difference is limited.

It also recommends policy makers consider intergenerational fairness but without abolishing tuition fees

Scotland’s previous no tuition fee policy which resulted in a student numbers cap means their social mobility outcomes are lower than England’s.

Widening Participation

Statistics – progression and outcome

The Department for Education have published statistics on the 2014/15 entry cohort – Widening Participation in HE. These are the regular annual statistics detailing young participation in HE with social background comparisons and graduate outcomes. Headlines:

The progression rate of free school meals (FSM) pupils has increased, but so has the gap between FSM and non-FSM. Page 5 has a diagram breaking this down by region.

The state school Vs independent school gap in progressing to the most selective HE institutions has widened slightly

Graduate outcomes – disadvantaged students employed in the most advantaged occupations is up by 1%, although the gap between most and least advantaged students in these high-end jobs remains static at 6%.

School-age attainment trends

The Education Policy Institute has published Closing the Gap? Trends in Educational Attainment and Disadvantage. The report focuses on school aged children analysing the attainment gaps between children from disadvantaged backgrounds and their peers plus other pupil characteristics. It covers the progress made, the enduring challenges (including magnitude of learning gaps and lack of progress for the most persistently disadvantaged pupils). It recommends an additional 8 local authority districts on top of the 12 Opportunity Areas currently identified by the Department for Education. Finally, it states that without significant acceleration in the rate at which gaps are being addressed it take until 2070 before disadvantaged children did not fall further behind other students during their time in education.

David Morris (Wonkhe) writes: when I confronted Gilligan about this on Twitter, his response suggested (to me at least) a realisation that a mistake had been made. He argued that his piece “was mainly about the fact that non-EU undergrads are admitted with lesser qualifications” and that we shouldn’t suggest that part-time and second degree students “don’t count”.

In his critique Morris also acknowledges the difficulty navigating HESA statistics for the uninitiated: HESA’s website is not the easiest to use, and one could easily look at overall undergraduate numbers and make an assumption about a story that simply isn’t there. I would urge HESA to make finding historic data more ‘journalist friendly’ for hacks with a deadline. To write this piece I have had to have six different tabs open on HESA’s website, plus three different Excel sheets and the HESA mobile app. No wonder mistakes can be made.

Case Studies

Universities UK have published a directory of case studies illustrating how universities are tackling harassment, violence against women and hate crime. The case studies cover a range of areas including prevention, improving incident reporting procedures, effective responses, student and staff training, and good practice.

Natalia Adamczewska and Yolanda Barrado-Martín represented the Psychology Department and Ageing & Dementia Research Centre (ADRC) at the Third Edition of the EU Falls Festival in Amsterdam on 8th and 9th May 2017. The theme of the congress was: Developing Collaborations across Professions and throughout Europe.

This festival brought together over 200 professionals from multiple disciplines (such as Nursing, Physiotherapy, Occupational Therapy, Medicine, Psychology and Technology) working under a common target: The prevention of falls amongst older adults. It was a great opportunity to see how different countries in Europe, but also researchers in America, represented by Dr. Robin Lee, US Lead Home and Recreation Team; and Australia, represented by Kim Delbaere, Falls Balance and Injury Centre, NeuRa; are working under this objective, the resources different countries invest on this and the different approaches used from different disciplines. A variety of interventions were presented from educational to exercise, and a debate was organised regarding the relevance of the role of technologies to prevent falls and support research.

Falls are the first external cause of death amongst older adults which explains the importance of researchers, practitioners and policy makers working together.​ Members of the World Health Organisation and the European Commission were also attending this meeting and sharing their views on the relevance of falls prevention.

Yolanda’s PhD project looks into the acceptability and adherence of participants living with dementia to a Tai Chi exercise intervention. Adherence to falls interventions was one the main concerns of the congress, however, the experiences of those living with dementia remain mostly under-explored.

Natalia focuses on the psychological adjustment to falls in her PhD project and she looks at fall-related PTSD. Various interventions presented at the festival could possibly be applied in order to enable participants to cope with psychological consequences of falling, such as virtual reality treatment presented by Jeff Hausdorff that he originally developed for fall prevention in idiopathic fallers.

On Monday May 1st, the Bank Holiday Monday, we were invited to give three separate training sessions for the Nepal Nursing Council and (hosted by) the Nursing Association of Nepal. The three separate topics were (a) maternal mental health and its relevance to nursing in Nepal; (b) conducting focus group research in nursing; and (c) publishing for nurses in international journals. The international team presenting these three sessions comprised Dr. Andrew Lee from the University of Sheffield (photo top), Dr. Bibha Simkhada (photo bottom) from Liverpool John Moores University (LJMU) who is also Visiting Faculty in BU’s Faculty of Health & Social Sciences. Further members of the teaching team comprised LJMU Prof. Padam Simkhada and also BU Visiting Professor and Prof. Edwin van Teijlingen in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH).

The presentations were well received and the practical part of the focus group training generated a lively discussion. In their teaching the presenters used a range of papers they had published in the three areas: maternal mental health based on a recently funded THET project, [1-3] writing for publication, [4-11] and focus group research. [12-14] The session was concluded with the inevitable certificate of attendance.

Would your team benefit from protected time and expert support to develop your idea into a competitive funding application?

The Research Design Services South West (RDS SW) and South Central (RDS SC) are delighted to offer a unique opportunity to researchers in health and social care across their regions. to attend a week-long residential Grant Writing Retreat at Dillington House, near Ilminster in Somerset from Monday 4 September to Friday 8 September 2017 inclusive. The purpose of the Retreat is to give busy professionals dedicated time to rapidly progress their research idea into fundable proposals. The Retreat will provide a supportive environment for research teams to develop high quality research proposals prior to application to national peer-reviewed funding streams. Participating teams will enjoy protected time dedicated to the development of their research proposals away from the distractions of their workplace, expert help and support from RDS adviser staff and the experience of working as part of a professional research team.

I urge you and your colleagues to have a look at the website to find out more details, the process for applying for a place on the retreat, and examples of success stories: http://rds-sw.nihr.ac.uk/rgwr.htm

The cost of the retreat is £2,850 per team of three researchers (see website for details). The opportunity to apply is open to everyone across our region.

HOWEVER, for teams that successfully apply for a place on the retreat, and that consist of at least one member of staff from the Department of Nursing and Clinical Sciences here at BU, the University can offer a limited number of places funded by the Department (2 but might be able to stretch to more). If you don’t have anybody in mind within the department but still interested in collaborating and applying for a free space offered by the university please contact us and we can facilitate this and try to find people with shared interests and ideas.

Applications for the retreat must be submitted to RDS by 1pm 26th April 2017, and it is important that you discuss your application with someone from the BUCRU/RDS team at an early stage (Sarah Thomas, Helen Allen, Sharon Docherty, Andy Powell, Peter Thomas).

Nurses are in a unique position on the frontline to see where the gaps are in delivering care and what questions need answering. Pursuing a clinical academic career can provide a stimulating and rewarding career pathway.

Training and career development awards from the National institute for Health Research (NIHR) range across all levels, are open to a wide range of professions and are designed to suit different working arrangements and career pathways.

This special one hour webinar, specifically for nurses, will explore the opportunities available to nurses from the NIHR to pursue a clinical academic career.

This webinar will cover:

An overview of the funding opportunities available from the NIHR for nurses to pursue a clinical academic career

Today we offered preliminary feedback to key stakeholders in Kathmandu as part of our research into CPD (Continuous Professional Development) for nurses in Nepal. Today’s presentation is party funded by LJMU (Liverpool John Moores University) and partly funded by BU’s Centre for Excellence in Learning (CEL). Late 2016 CEL funded the qualitative part of our research project. In this CPD project we work with representatives of the Ministry of Health , the Ministry of Education, the Nepal Nursing Association and the Nursing Council, and providers of Nursing Education (both Government-run universities and private colleges).

Today key presenter was BU Visiting Faculty Dr. Bibha Simkhada (based at LJMU). The event was opened by Associate Professor Chandra Kala Sharma, who is also the president of the Nepal Nursing Association (lighting the traditional lamp in photo right).

Our BU contributors, Dr. Catherine Angell and Prof. Edwin van Teijlingen, are both based in the Centre for Midwifery and Maternal & Perinatal Health (CMMPH). We are grateful to our collaborators in Nepal, especially Dr. Sujan Marahatta at Manmohan Memorial Institute of Health Sciences, for organising this event in our absence. The CPD research project is truly a FUSION project in the field of nursing & midwifery since it links Research in the field of Education to help improve Practice in Nepal. Further information can be found on a previous blog post, click here!

In the final week of 2016 the journal Health Prospect published our editorial on the importance of introducing nursing CPD in Nepal [1]. This editorial is based on a collaborative study between BU, Liverpool John Moores University (LJUM), Manmohan Memorial Institute of Health Sciences (MMIHS) in Nepal, Nepal Nursing Council (NNC), and the Nursing Association of Nepal (NAN). The BU part of the study is led by Dr. Catherine Angell based in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) and funded by a small grant from BU’s Centre for the Excellence in Learning. Two of our co-authors from LJMU Dr. Bibha Simkhada and Prof. Padam Simkhada are also Visiting Faculty at BU. The project is a true FUSION project as the Research, will inform Education (in the form of CPD) which will in turn improve Practice (of the many thousands of nurses in Nepal).

Health Prospect is an Open Access journal and therefore freely available for any one to read online.

Congratulations to BU Professor Emerita Immy Holloway and FHSS (Faculty of Health & Social Sciences) Visiting Faculty Professor Kathleen Galvin on the publication of the latest edition of Qualitative Research in Nursing and Healthcare[1]. This new edition offers insights into both the abstract ideas in qualitative research and its practical procedures. Structured into four sections, the new edition looks at the initial stages, methods of data collection, qualitative approaches and analysis of collected data. Professor Galvin is Professor of Nursing Practice in the College of Life, Health & Physical Sciences, at the University of Brighton. Both Immy Holloway and Kate Galvin are affiliated with BU’s Centre for Qualitative Research (CQR), the longest running research centre in FHSS.

Having been at BU for three months, I thought I should introduce myself to the research community in the University and take this opportunity to tell you about some of my research interests so that anyone ploughing similar furrows can get in touch with a view to future collaboration.
Dual trained in sociology and nursing (a fact reflected in my neologistic job title), my interests span social sciences and health. Coming from a School of Nursing and Midwifery, a lot of the work I am bringing with me to BU tends towards the clinical end of the spectrum, but I am really excited by the prospect of being able to re-engage a lot more deeply in the social scientific aspects of health and care.

In terms of substantive topics, my main focus is on palliative care (for example, I have been doing a lot of work around support for patients and loved ones dealing with cancer cachexia or wasting). I also do work on supportive care for cancer patients and survivors (a current example of the kind of thing I am involved in here is a qualitative study using Habermasian critical theory to examine patients’ experiences of care while taking oral chemotherapy, and how those experiences affect medication concordance).
In addition, I am interested in arts-based therapies (I recently led a randomised controlled trial of the effectiveness of music therapy for young people with behavioural and emotional problems). The subject population of this trial is indicative of the eclecticism of my interests, which include maternal and child care. Another example of this interest is the work I’m doing with colleagues in Brazil and the UK seeking social media solutions to Brazilian women’s health problems in the first year after giving birth.
Bringing together arts-based therapy and palliative care, I am currently involved in a feasibility study looking at whether music therapy is effective in reducing anxiety in hospice patients who are reaching the end of their lives (or more precisely, looking at whether a full RCT would be effective in evaluating whether music therapy is effective).

As a person trained initially in qualitative research who drifted into the dark realms of trialling, I am aware of the strengths and weaknesses of these differing approaches. I am also deeply interested in how they can be used in combination. I do a lot of methodological work grounded in critical realism, which aims to develop and encourage novel approaches to evaluation research that are capable of robust measurement of outcomes, comprehensive analysis of processes, and critical evaluation of human consequences.

I think that’s probably enough exposure of my chronically dilettantist approach to knowledge acquisition, so I’ll end by saying that if any of this interests you, it would be great to have a conversation.
Best wishes, Sam

As part of FHSS’s sustained research in Nepal Dr. Sujan Marahatta and Mr. Jiwan Sharma from Manmohan Memorial Institute of Health Sciences (MMIHS) came to the UK to discuss further future collaborations. The Nepali visitors met with our Dean Prof. Steve Tee and Dr. Malcolm McIver FHSS’s Associate Dean for Global Engagement as well with Postdoctoral Fellow Dr Pramod Regmi and BU PhD student Mr. Jib Acharya.

BU academics have been collaborating with MMIHS for over seven years. Currently, we have three projects in Nepal with MMIHS: one funded by the Centre for Excellence in Learning on introducing CPD (Continuous Professional Development) in nursing in Nepal and coordinated by Dr. Catherine Angell; and project designed by Dr. Regmi on transgender issues in Nepal which is funded by FHSS monies, and study on returned trafficked women in Nepal which has received a small small amount of money from both FHSS and Liverpool John Moores University. Prof. Edwin van Teijlingen, in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH), has been a Visiting Professor at Manmohan Memorial Institute of Health Sciences for nine years so it is a long-standing working relationship. MMIHS publishes its own journal the Journal of Manmohan Memorial Institute of Health Sciences which is part of Nepal Journals Online (NepJOL) and Open Access. Apart from Prof. van Teijlingen, CMMPH Prof. Hundley, Dr. Regmi, or our BU media colleague Dr. Luce (Faculty of Media & Communication) and various members of FHSS’s Visiting Faculty have published in this journal.

FHSS and MMIHS are now working towards a more formal academic relationship.